18D2162971 CLIA NUMBER - NICHOLASVILLE PHARMACY SERVICES, INC

Laboratory Demographics

  • CLIA Code: 18D2162971
  • Facility Name: NICHOLASVILLE PHARMACY SERVICES, INC
  • Facility Address: 465 KEENE CENTRE DR
    NICHOLASVILLE, KY
    ZIP 40356
  • Facility Phone: (859) 887-2841
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MICHAEL G. DOWNS
  • NPI Number: 1124755475
  • Taxonomy: 3336L0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 18D2162971
LAB Type Pharmacy
Facility Name NICHOLASVILLE PHARMACY SERVICES, INC
Street 465 KEENE CENTRE DR
City NICHOLASVILLE
State KY
ZIP 40356
Phone 8598872841
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/5/2025
Certificate Expiration Date 3/4/2027
Facility Type Pharmacy
Lab Director MICHAEL G. DOWNS

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This page was last updated on: 5/18/2026